The nurses in the ED have up to three patients for whom they are for. The nurses do not have CNA, so they are responsible for taking vital, providing blanks, water, assessments, treatments, and the nurses are responsible for doing everything for the patients. This is also the case for nurse whom I worked with previous clinical experiences. This clinical setting is similar to Labor and Delivery because the nurses are super involved and continuously monitor the patient. The one way the role and responsibility differed from past clinical experience is that client-patient relationship is short-term.…
Memorial Hermann Northeast offered a patient-centered care, this model promotes efficiency, quality, and cost control. The number of caregivers at bedside is reduce, but responsibilities increases. For example, in the emergency department each nurse have and assignment of four patients at the time; then we have our technicians, they assist our patients with hygiene, ambulation, and more. Another medical staff is the charge nurse, who oversees the entire unit, the charge nurse is helping with triage of patients, discharges, and help staff when need it and help manage our unit and keep the floe effectively. Delegation flows from top to bottom and the chain of command is followed on the way back up.…
Also, Team base model has shown improvement in patient satisfaction and able to maintain the care as patient centered. This model also provide individual with different entities to play the roles and take responsibility in patient care. For example, In primary clinic physicians may share the patient load to Physician Assistants (PA) and Nurse Practitioner (NP) and practice within their scope, then the reminding task that PA and NP is unable to perform due to their title will be provided by the physicians, with this model responsibilities and workload is shared and…
Both studies focus on improving patient safety and communication. By working in the health care system, these two studies enhance one’s own practice. Zou & Zhang (2015) in study one describes the importance of nursing handoff and the importance of patient safety throughout this process. It is a time where the oncoming nurse is able to acquire necessary information and ask questions.…
It have been a couple of weeks since we last spoke. I am writing to you today to see if you have any question about HeartWorks simulator system that I can answer. Below are links to our Dual TEE-TTE simulator system as well as Student Review and Assesment Tool(START). START is an effective assessment solution to test students’ performance of TEE procedures including interpretation of acquired ultrasound imaging and calculating measurements for assessing cardiac function. As a tutor, START allow you to customize tests to meet your institution echocardiography educational programs.…
Concepts of Interprofessional Collaboration The concepts of interprofessional collaboration were made to help us all work together through associations to solve compound health complications. Significant ideas with the relationships, that nurses use every day, include sharing information or education, working together in partnerships, authority (who is in charge?), and being able to be accountable independently or in a group. They also utilize the diversity in the patient population and professional people that we work with. Although, there are no strong associations to how the groups work, all are different, but all have a patient focused atmosphere (D 'Amour, et al., 2005) to reduce risk factors for certain populations and to deliver services…
I attended the Bertha Strong Stroke Simulation event on March 1, 2016, at the Arizona State University Downtown Phoenix campus held at the Mercado building. I had attended this event in the past thought it would be interesting to compare my experiences. I was surprised to find that my first comparison would be the registration and receipt of materials needed to prepare for the event. It may have been due to familiarity with the process, but the current process seemed more coordinated. The registration process was different; it seems as though the old system had some issues as it has been changed slightly.…
In the film, five nurses share their real life scenarios within their nursing career. The nurses describe some challenging situations, which demonstrates that struggles come along the way of patient care. However, the film highlights the nurses’ incredible reliability to constantly provide medical assistance, despite the difficulties. Throughout the film, these nurses indicate a few important interventions that help to improve patient care. Since the film focused on different settings, each nurse focuses on a unique way for assisting his or her…
Today’s students come from diverse backgrounds with varied experiences, beliefs and values therefore I believe educators can facilitate learning by engaging this diverse student group using technology and innovative approaches to teaching that is experiential and builds upon essential professional knowledge and develop skills. Students also vary in the way they approach thinking and problem solving. The ability to think critically and make individualized but safe clinical judgments is significant outcome in nursing. Therefore, I believed that educators should assess students’ cognitive development as well as their dispositions and abilities to think critically and make clinical decisions in order to guide students in experiential learning.…
What is your current advanced practice role? How will a DNP influence your future practice as well as healthcare delivery and outcomes? I am currently a graduate student at Northeastern University in Boston Massachusetts earning my Master of Science in Nursing in Adult-Gerontology Acute Care Nurse Practitioner (AG-ACNP). Although graduation is in sight, I am continuing to learn both in the classroom and during my clinical experience at Massachusetts General Hospital. My current rotation is on the orthopedic trauma service caring for inpatient orthopedic patients.…
There are three rules of LPN delegation; (1) Only nursing care in stable situations, (2) Orders not subject to change, (3) Selected task in unstable conditions (Hurst Review Services, n.d.). Anytime a nursing judgment, assessment, or problem solving is needed, the task should not be delegated. The Right directions and communication In this situation, the RN and the LPN should have communicated the care plan for this patient and the proper steps that needed to be addressed. If there is a degree of harm to a patient in a task the nurse must retain the task for themselves (Hurst Review Services n.d.).…
The AACN suggests nurses nurse staffing must ensure an effective match between nurse skills and patient needs (AACN, 2016). Not only does inappropriate staffing lead to medical errors, it can also bring about stressed and overworked nurses. The unit I work on is often short-staffed leading nurses to take on more than they are used to and leaving charge nurses scrambling to assign duties and calling in reinforcements. To the best of my ability, I will try to match my nurse’s abilities to the patient’s acuities and request critique if the assignments do not work effectively with current staffing. In order to address the staffing needs and the workflow that changes hour to hour, I believe the implementation of a resource nurse role will help address the staffing needs when patient loads become hectic.…
Introduction According to NPAO, a nurse practitioner (NP) is a registered nurse who receives advanced education and training to provide extended care to the public in varies setting. In order to better understanding the NP's roles and responsibilities, I interviewed a Cardiology NP at a local acute care hospital. The questions were prepared and sent to NP one week prior to the interview. In addition, the purpose, goals, and requirements of the interview were explained to the NP.…
You should keep in mind that this is a capstone/strategy class; accordingly, your "reflections" may address strategic (rare, consequential, directive) issues, as well as varied authors, topics, and business functions. 4. It is appropriate for you to reflect on the simulation in relation to the MBA 5900 course overall, your MBA program overall, your other MBA courses specifically, your work and career experiences past, present and future, and other relevant constructs such as leadership, ethics, global competition, and political/legal/environmental/technological/demographic/diversity/productivity issues. 5. There are many aspects of the simulation about which you might reflect, including the decisions made, group processes, how decisions were made, reacting and adapting to simulation results, effectiveness of strategies employed, etc.…
The charge nurse will facilitate the unimpeded flow of patients through the systems, thereby increasing the patient volume. The improved communication between departments will facilitate this increased volume in patients once the doctor admits the patient. The communication between the admitting doctor and bed management to facilitate finding the appropriate room. To ensure the availability of the applicable rooms and resources the relocation of some patients from one department to another is a necessity. The charge nurse over the ICU, Step-down unit and a med-surge unit can improve the communicating and facilitate the appropriate flow of patients through the…